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Individual

MR. ROBERT DENNIS BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6400
Mailing address
1191 EDENBROOK DR, SANDY, UT 84094-5033
(801) 571-0242

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106319-2401
UT
225100000X
Physical Therapist
PT-0258
WY

Other

Enumeration date
03/14/2011
Last updated
03/14/2011
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